Plan Administrator Forms

• Enrollment/Change 
• Joint Enrollment/Change - Green Shield Canada and The Co-operators
• Cost Plus [Click here for MS Excel format]
   

• General (for Drug and Extended Health Services)
• Dental
• Health Care Spending Account (HCSA)

For access to some of our more specific claim forms, click below.

• Audio
• Authorization for Custom Braces
• Authorization for Post-Cataract Surgery and Prosthetic Eyewear
• Authorization for Prosthetic Appliances and Durable Medical Equipment
• Childcare
• Chronic Care/Alternate Level of Care
• Custom Foot Orthotics
• Government Health Insurance Replacement (VS Plan)
• Long-Term Care Facility
• Medical Devices
• Multiple Plan Member Long Term Care Facility
• Related Health Professional Services 
• Scholarship Program for Dependent Children 
• Services of an R.N., R.N.A., R.P.N., P.N.A. or L.P.N., Personal Support Worker
• Vision  
  

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